1. Country presentation on NCDs (Myanmar)
Dr. Than Win
National Focal Person
7-12 March

3. Myanmar Area - 676578 sq.km States / Division - 14 Districts - 68
CHINA
LAOS
THAILAND
INDIA
BANGLA
DESH
KACHIN
SHAN
SAGAING
CHIN
RAKHINE
MANDALAY
MAGWE
BAGO
AYARWADDY
YANGON
KAYIN
KAYAH
MON
TANINTHARYI
Myanmar
Area sq.km
States / Division - 14
Districts - 68
Townships
Sub Townships - 66
Wards
Village tracts
Villages
Population millions
Growth rate %
Urban - 30%
Rural - 70%
Myanmar and Thailand have long border distance, about 1800 Kilometer in length and Myanmar side comprising 4 States & one Division with 16 districts, directly bordering with 10 provinces of Thailand. Total area is about 75 thousand sq.Km with 2400 villages there. About 1.7 million populations are residing there.Health facilities are strengthened up to the border areas.

4. Myanmar Health Care System

5. Sub Rural Health Centre
District/Township Health Unit
Medical Care
Public Health Unit
District/Township
Hospital
Disease Control
Unit
Urban Health
Centre
Station
Hospital
Leprosy
Malaria TB
STI, etc;
Rural Health
Centre
Sub Rural Health Centre
Disease Control Activities
Disease Surveillance
Leprosy
Malaria TB
HIV/AIDS/STI
Immunization
Public Health Activities
Primary Health Care
MCH
Nutrition
Water& Sanitation
School Health

6. Risk factors of non-communicable diseases
STEPS - Myanmar, (2009) (Total 7429 respondents)
Risk factors for
NCDs
Male
Female
Smoking
(33.61%)
(6.13%)
Alcohol drinking
(31.17%)
(1.47%)
Physical inactivity
(10.44%)
(14.1%)
Hypertension
(30.99%)
(29.34%)
Obesity
(17.74%)
(30.27%)

7. Prevalence of diabetes in Myanmar (11.8%)
Male
(1994 respondent)
Female
(2454 respondent)
Prevalence of diabetes in Myanmar
11.68%
12.81%
Urban
Rural
Prevalence of diabetes in Myanmar
13.9%
7.3%
WHO STEPwise Approach to NCD Surveillance
Myanmar Standard Report (Level 1)

8. (I) NCD Situation, Structure & Organization and Resource available
One of the projects ( Prevention and Control of 3 major NCDs – CVD, DM and Cancer) under Hospital Care Programs in NHP ( National Health Plan )
No established division/program/center, led by clinicians concerned under DOH, Ministry of Health
Very limited budget, from Government (mostly for salary) and WHO (Regular Budget)
Before 2011, No NCD Policy/Strategic Plan,
Limited activities - IEC, Training of health staff, Curative services, Research activities,
Data available only from Inpatient Hospital Statistics, Department of Health Planning, MOH
Few involvement of other sectors, International NGOs, local NGOs and community

9. (II) Main Achievements
One of the Strategic Areas (total 11 strategic areas) in NHP , including 5 Programs 1. Chronic Diseases (4 major NCDs - Cardiovascular Diseases, Diabetes Mellitus, Cancer and Chronic Respiratory Diseases,
2. Accidents and Injuries,
3. Disabling conditions (Blindness, Deafness, CBR - community based rehabilitation),
4. Mental health and Substance abuse,
5. Snake bite
National focal person assigned
NCD Policy (draft) and Framework of Action Plan for Prevention and Control of NCDs in Myanmar (draft) in 2011
2 STEPS surveys - Chronic Disease Risk Factors Survey ( and 2009)

10. (III) Main Challenges
Political commitment
Resource limitation (Funding, Human, Technical)
Health system reorientation and strengthening

11. (IV) Main Lessons
Political commitment is critical.
Individual to community approach (Primary health care approach/community based program) is highly important.
Partnership building/ Integrated approach is essential.
Provision of Comprehensive Health care (Promotive, Preventive, Curative and Rehabilitative, Primordial, Primary, Secondary Prevention)

12. V Future Plan Development of NHP 2011-16 addressing NCDs
Development of NCD Policy and 5 years Strategic Plan for Prevention and Control of NCDs in Myanmar
Establishment of NCD Division/Program/Center under DOH Department of Health, Ministry of Health
Capacity building
Strengthening surveillance system (integrated into HMIS - Health Management Information System)
Resource mobilization/Fund raising
Strengthening partnership approach

13. Thank You

14. Risk factors of non-communicable diseases
Data from Yangon, Myanmar, ( )
Risk factors for
NCDs
Male
(1994 respondent)
Female
(2454 respondent)
Smoking
(36.00%)
(11.11%)
Alcohol drinking
(25.96%)
(1.09%)
Physical inactivity
(7.32%)
(7.86%)
Hypertension
(20.04%)
(27.54%)
Obesity
(25.98%)
(50.80%)